Pregunta 1
Pregunta
[blank_start]60%[blank_end] of pregnancies are delivered vaginally with no complications
[blank_start]25%[blank_end] of pregnancies are delivered by c-section
Pregunta 2
Pregunta
The anterior and posterior fontanelles along with the parietal eminences make up which area of the foetal skull?
The [blank_start]Vertex[blank_end]
Pregunta 3
Pregunta
Pre-term is defined as delivery before [blank_start]37 weeks[blank_end]
Post-term is defined as delivery after [blank_start]42 weeks[blank_end]
Respuesta
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37 weeks
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36 weeks
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38 weeks
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42 weeks
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40 weeks
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41 weeks
Pregunta 4
Pregunta
Name the following types of breech presentation:
Respuesta
-
Complete breech
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Footling breech
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Frank breech
Pregunta 5
Pregunta
The type of breech presentation whereby the baby presents bottom first due to having their feet by their head is known as a [blank_start]frank[blank_end] breech
Pregunta 6
Pregunta
Failure to progress is defined as [blank_start]<2cm[blank_end] cervical dilation in [blank_start]4[blank_end] hours
Pregunta 7
Pregunta
Progression of the foetus through the maternal pelvis is quantified in relation to which bony landmarks?
The [blank_start]Ischial Spines[blank_end]
Pregunta 8
Pregunta
A foetal progression of +3 would suggest that the baby is around 3cm [blank_start]below[blank_end] the ischial spines
Pregunta 9
Pregunta
What are the 3 Ps in relation to failure to progress? (shorted word to longest):
[blank_start]Power[blank_end]
[blank_start]Passage[blank_end]
[blank_start]Passenger[blank_end]
Pregunta 10
Pregunta
The [blank_start]Partogram[blank_end] is used to record graphical information about the progress of labour in which the information about the fetal well-being, maternal well-being and the progress of labour are recorded onto a single chart
Pregunta 11
Pregunta
Syntocinon is the synthetic form of the hormone [blank_start]oxytocin[blank_end] that is used to induce uterine contractions in labour
Pregunta 12
Pregunta
The chart on which the foetal heart rate is monitored alongside maternal uterine contractions is known as the [blank_start]cardiotocogram[blank_end] (don't use abbreviation)
Pregunta 13
Pregunta
Cardiotocograms (CTGs) are analysed using the acronym DR C BRAVADO. What do the letters stand for?
DR - [blank_start]Define Risk[blank_end]
C - [blank_start]Contractions[blank_end]
BRA - [blank_start]Baseline Rate[blank_end]
V - [blank_start]Variability[blank_end]
A - [blank_start]Accelerations[blank_end]
D - [blank_start]Decelerations[blank_end]
O - [blank_start]Overall[blank_end] Judgement
Respuesta
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Define Risk
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Contractions
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Baseline Rate
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Variability
-
Accelerations
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Decelerations
-
Overall
Pregunta 14
Pregunta
In terms of analysing the CTG, the Baseline Rate refers to the foetal heart rate. What is the normal foetal heart rate?
Between [blank_start]100-160[blank_end] BPM
Respuesta
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100-160
-
100-140
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120-140
-
120-160
Pregunta 15
Pregunta
In terms of analysing the CTG, the variability refers to the change in the foetal heart rate from one beat to the next. In a healthy foetus, the variability is between [blank_start]5-25[blank_end] BPM
Pregunta 16
Pregunta
In terms of analysing the CTG, accelerations are abrupt increases in the foetal heart rate of >[blank_start]15[blank_end]BPM for >[blank_start]15[blank_end] seconds
Pregunta 17
Pregunta
In terms of the CTG, accelerations occurring alongside contractions are [blank_start]normal[blank_end] and reassuring of [blank_start]a healthy[blank_end] foetus
Respuesta
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normal
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abnormal
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a healthy
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an unhealthy
Pregunta 18
Pregunta
In terms of analysing the CTG, decelerations are abrupt decreases in the foetal heart rate of >[blank_start]15[blank_end]BPM for >[blank_start]15[blank_end] seconds
Pregunta 19
Pregunta
Decelerations can be early, late or variable:
[blank_start]Early decelerations[blank_end]: Occur exactly in time with uterine contractions and recover by the time the contraction is over
[blank_start]Variable decelerations[blank_end]: Have a variable recovery time
[blank_start]Late decelerations[blank_end]: Occur at the peak of a contraction and don’t recover until after the contraction is over
Respuesta
-
Early decelerations
-
Variable decelerations
-
Late decelerations
Pregunta 20
Pregunta
Which type of decelerations are usually caused by cord compression?
Respuesta
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Early Decelerations
-
Variable Decelerations
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Late Decelerations
Pregunta 21
Pregunta
Which type of deceleration is considered normal and expected on a CTG?
Respuesta
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Early Deceleration
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Variable Deceleration
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Late Deceleration
Pregunta 22
Pregunta
Which type of decelerations are almost always a sign of foetal distress and should be thoroughly investigated?
Respuesta
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Early Decelerations
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Variable Decelerations
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Late Decelerations
Pregunta 23
Pregunta
Which 2 sites can you take blood from to determine if a foetus is hypoxic?
Pregunta 24
Pregunta
If the foetal blood pH is [blank_start]under 7.2[blank_end] the baby is likely to be hypoxic and should be delivered
Respuesta
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under 7.2
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under 7.3
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over 7.4
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over 7.5
Pregunta 25
Pregunta
Assisted Vaginal Delivery typically involves these two tools. What are they called?
Pregunta 26
Pregunta
In the case of failure to progress in labour (without epidural anaesthesia), how long would you try for a spontaneous vaginal delivery before attempting assisted vaginal delivery?
Primigravida = [blank_start]2 hours[blank_end]
Multiparous = [blank_start]1 hour[blank_end]
Respuesta
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2 hours
-
1 hour
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1 hour
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2 hours
Pregunta 27
Pregunta
Ventouse delivery is typically more effective that a forceps delivery
Pregunta 28
Pregunta
Which condition, characterised by a deep rooted placenta, becomes more likely in subsequent pregnancies if a woman is to have a caesarean section?
[blank_start]Placenta accreta[blank_end]
Pregunta 29
Pregunta
Which of the following warrants immediate foetal blood sampling?
Respuesta
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Presence of Variable Decelerations
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Presence of Late Decelerations
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Presence of Early Accelerations
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Foetal Heart Rate = 114
-
Foetal Heart Rate Variability = 24 BPM
Pregunta 30
Pregunta
A foetal blood sample indicates that the blood is more acidic than it should be. What is your next move?
Respuesta
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Immediate Foetal Transabdominal Ultrasound
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Emergency C-section
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Emergency Syntocinon Infusion
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Maternal Blood Transfusion
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Take Maternal blood to investigate for foetal hypoxia